糖人遇上口腔溃疡不要大意.doc

许多资料表明，糖尿病患者牙龈炎和牙周炎的发病率增高。世界卫生组织召开的第三届牙科预防保健研究会将糖尿病与牙周疾病列为重要研究课题之一。有些牙周脓肿反复发作的患者，经检查发现了糖尿病;而同时患有糖尿病和牙周炎者，控制糖尿病后，牙周病获得好转。糖尿病病人容易发口腔病吗?与糖尿病患者的其他并发症相比，口腔并发症是一个尚未引起充分重视而又十分重要的问题。大家知道，糖尿病被称为“富贵病”，它的暴发性流行与我国由穷到富的经济发展相平行。无独有偶，口腔疾病的发病率也有同样趋势。两者之间决不是偶然的巧合，而是有一定的内在关联。那就是食物谱、生活节律、精神压力和不良生活习惯等环境因素的恶化。糖尿病病人易发哪些口腔疾病?我们曾经对糖尿病住院病人作过调查，发现这些病人中发生龋齿、牙髓病、根尖周病、牙龈炎、牙周病以及多种口腔黏膜病的比例大大高于正常人群。即使与心血管疾病、消化道疾病等其他患者群体相比，其比例也大大提高。更有意思的是，在口腔肿瘤、口腔溃疡、口腔糜烂性损害的就诊患者中，如果细致地追问病史，可以发现许多人有糖尿病史。有些人是在口腔科就诊的化验检查中才发现血糖升高，后经内科医师进一步检查诊断为糖尿病。糖尿病患者容易发口疮，而且一发再发，很难治愈。这是因为，不管是I型或II型糖尿病患者，口腔症状多发生于糖尿病未控制时。口腔烦热，粘膜普遍干燥，唾液粘稠，且伴有牙周病，粘膜对外界刺激的防御能力下降，即使很轻微的创伤也可产生溃疡;粘膜上皮修复能力差，溃疡可长期不愈;口腔内菌群失调，可引起白色念球菌感染。患者感觉口干、口渴、干燥、灼热糖友容易出现口腔溃疡的原因三多一少的特点，使得大多数糖尿病患者排出的水分较多，而平时喝水又比较少，所以，体内严重缺乏水分，易发口腔溃疡;因为有意识的控制饮食，大多数糖友摄入的维生素，尤其是微量元素锌、铁、叶酸、维生素B12等较少，易发口腔溃疡;糖尿病易引发消化系统疾病及功能紊乱，如腹胀、腹泻或便秘等情况，使得营养消化吸收功能减退，容出现营养缺乏，免疫力下降，导致口腔溃疡的发生;精神因素。一般人在精神紧张、情绪波动、睡眠状况不佳的情况下易发生口腔溃疡，糖尿病患者这一点更为突出;还可能与内分泌变化有关，糖尿病本身就属于内分泌系统的疾病，尤其是换有糖尿病的女性，更容易引发口腔溃疡，可能与体内雌激素量下降有关;遗传因素：如父母双方均患有复发性口腔溃疡时，其子女约有8090%患病，若双亲之一患此病时，其子女约有5060%患病。Many data show that,the incidence ofgingivitis and periodontitispatients with diabetesincreased rate.WHOheld the third session of thedentalhealth preventionstudy will bediabetes and periodontal disease/post/792.html is one of the most importantresearch topic.Some recurrentperiodontal abscesspatients,the inspection founddiabetes;andpatients with diabetes andperiodontitis,diabetes control,periodontal diseasegetbetter.Diabeticpatientsprone tooraldisease?Compared with othercomplications in diabetic patients,oral complicationsare not caused by afull attentionand very important issue.As we all know,diabetesis known as therich mans disease,itspandemicand our countryfrom poor to richeconomic developmentin parallel.Similarly,the incidence of oral diseaseshave the sametrend.Between the twois no coincidence,but there is acertain internal relation.Evencompared with thecardiovascular diseases,gastrointestinal diseasesand otherpatient groups,the ratiois greatly improved.More interesting is,in oralcancer,oral ulcers,oralerosivedamagepatients,ifdetailedinquirymedical history,you can find manypeople whohave a history of diabetes.Some people arein theDepartment of Stomatology,laboratory examinationfound thatelevated blood sugar,afterDepartment of internal medicine physiciansfurther diagnosisof diabetes mellitus.Patients with diabetesprone tomouth ulcers,and sendagain hair,very difficult to cure.Patients with prone tomouth ulcers,and sendagain hair,very difficult to cure.This is because,whetherpatients with type Ior type II diabetes,oralsymptoms occur indiabetes withoutcontrol.OralmucosaFanre,generallydry,sticky saliva,and associated withperiodontal disease,mucosalto external stimulation of thedefenseability drops,even veryminor traumacan also produceulcer;epithelialrepairability is poor,can belong-term unhealedulcer;oralflora,can be caused byCandida albicansinfection.The patient feeldry mouth,thirst,dry,hotThe patient feeldry mouth,thirst,dry,hotSugar friendseasilycauseoral ulcersThethree littlecharacteristics,so thatmore waterfrommostpatients with diabetes,and less,therefore,a serious lack ofwaterin the body,prone tooral ulcer;becausethe control dietconscious,mostfriends of sugarintake of vitamins,especiallytrace elements of zinc,iron,folic acid,vitamin B12and other less,susceptibleoral ulcer;becausethe control dietconscious,mostfriends of sugarintake of vitamins,especiallytrace elements of zinc,iron,folic acid,vitamin B12and other less,susceptibleoral ulcer;Thediabetesinduceddigestive system diseasesanddisorders,such asabdominal distension,diarrhea or constipation and otherconditions,thenutrition digestion and dysfunction,containingnutritional deficiency,decreased immunity,leading to the occurrence oforal ulcer;Thespirit of factors.Generallyprone tomouth ulcersinmental tension,mood swings,sleep statusof poor,diabetic patientsit is moreprominent;TheMayand endocrinechanges,diabetesitself belongs toendocrine system diseases,especiallyforwomenwith diabetes,more easily causeoral ulcers,